2026 NUR 317 Pneumonia & TB NCLEX Practice Questions Med Surg I Test (60 Questions And Complete Answers)

A nurse is caring for an 89-year-old client admitted with pneumonia. He has an IV of normal saline running at 100 mL/hr and antibiotics that were initiated in the emergency department 3 hours ago. He has oxygen at 2 liters/nasal cannula. What assessment finding by the nurse indicates that goals for a priority diagnosis have been met for this client?

1. The client is alert and oriented to person, place, and time.
2. Blood pressure is within normal limits and client's baseline.
3. Skin behind the ears demonstrates no redness or irritation.
4. Urine output has been >30 mL/hr per Foley catheter

Which of these clients should the charge nurse assign to the LPN/LVN working on the medical-surgical unit?

1. Client with group A beta-hemolytic streptococcal pharyngitis who has stridor
2. Client with pulmonary tuberculosis who is receiving multiple medications
3. Client with sinusitis who has just arrived after having endoscopic sinus surgery
4. Client with tonsillitis who has a thick-sounding voice and difficulty swallowing

A client with pneumonia caused by aspiration after alcohol intoxication has just been admitted. The client is febrile and agitated. Which health care provider order should the nurse implement first?

1. Administer levofloxacin (Levaquin) 500 mg IV.
2. Draw aerobic and anaerobic blood cultures.
3. Give lorazepam (Ativan) as needed for agitation.
4. Refer to social worker for alcohol counseling.

The medical-surgical unit has one negative-airflow room. Which of these four clients who have just arrived on the unit should the charge nurse admit to this room?

1. Client with bacterial pneumonia and a cough productive of green sputum
2. Client with neutropenia and pneumonia caused by Candida albicans
3. Client with possible pulmonary tuberculosis who currently has hemoptysis
4. Client with right empyema who has a chest tube and a fever of 103.2° F

An older adult resident in a long-term-care facility becomes confused and agitated, telling the nurse, "Get out of here! You're going to kill me!" Which action will the nurse take first?

1. Check the resident's oxygen saturation.
2. Do a complete neurologic assessment.
3. Give the prescribed PRN lorazepam (Ativan).
4. Notify the resident's primary care provider.

The community health nurse is planning tuberculosis treatment for a client who is homeless and heroin-addicted. Which action will be most effective in ensuring that the client completes treatment?

1. Arrange for a health care worker to watch the client take the medication.
2. Give the client written instructions about how to take prescribed medications.
3. Have the client repeat medication names and side effects.
4. Instruct the client about the possible consequences of nonadherence.

An older client presents to the emergency department with a 2-day history of cough, pain on inspiration, shortness of breath, and dyspnea. The client never had a pneumococcal vaccine. The client's chest x-ray shows density in both bases. The client has wheezing upon auscultation of both lungs. Would a bronchodilator be beneficial for this client?

1. It would not be beneficial for this client.
2. It would help decrease the bronchospasm.
3. It would clear up the density in the bases of the client's lungs.
4. It would decrease the client's pain on inspiration.

A client who has been homeless and has spent the past 6 months living in shelters has been diagnosed with confirmed tuberculosis (TB). Which medications does the nurse expect to be ordered for the client?

1. Isoniazid (INH), rifampin (Rifadin), pyrazinamide (Zinamide), ethambutol (Myambutol)
2. Metronidazole (Flagyl), acyclovir (Zovirax), flunisolide (AeroBid), rifampin (Rifadin)
3. Prednisone (Prednisone), guaifenesin (Organidin), ketorolac (Toradol), pyrazinamide (Zinamide)
4. Salmeterol (Serevent), cromolyn sodium (Intal), dexamethasone (Decadron), isoniazid (INH)

A client is taking isoniazid, rifampin, pyrazinamide, and ethambutol for tuberculosis. The client calls to report visual changes, including blurred vision and reduced visual fields. Which medication may be causing these changes?

1. Ethambutol
2. Isoniazid
3. Pyrazinamide
4. Rifampin

A client is being discharged home with active tuberculosis. Which information does the nurse include in the discharge teaching plan?

1. "You are not contagious unless you stop taking your medication."
2. "You will not be contagious to the people you have been living with."
3. "You will have to take these medications for at least 1 year."
4. "Your sputum may turn a rust color as your condition gets better."